La Vie En Rose Ltd

Updated 3 September 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

This inspection was carried out by two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this

type of care service.

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own houses and flats.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was not a registered manager in post. The inspection was supported by the care manager and nominated individual. The nominated individual stated they planned to apply to be the registered manager of the service.

Notice of inspection

This inspection was announced.

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on 11 August 2022 and ended on 17 August 2022. We visited the location’s office/service on 11 August 2022.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used this information we held about the service. We used all this information to plan our inspection.

During the inspection

We spoke with four people who used the service and three people's relatives about their experience of the care provided. We spoke with the care manager, nominated individual and feedback from seven members of staff. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records. This included eight people's care records and a range of medicines care plans and records.

We looked at five staff files in relation to staff recruitment. A variety of records relating to the management of the service and the provider's policies and procedures were reviewed. After the inspection, we continued to seek clarification from the provider to validate evidence found.

Updated 3 September 2022

About the service

La Vie en Rose is a domiciliary care service providing the regulated activity of personal care. At the time of the inspection, 31 people were receiving support from the service. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do, we also consider any wider social care provided.

People’s experience of using this service and what we found

Improvements had been made since our last inspection to the provider’s staff recruitment processes and notifying CQC of any significant events.

We found safe recruitment systems were in place and being used to ensure staff were suitable recruited and vetted before supporting people.

Staff had a good awareness of the importance of recognising and reporting signs of abuse or any incidents or decline in people’s health. Managers reviewed any concerns and reported them to the relevant authorities and CQC.

Progress was being made to ensure people’s risk assessments were person centred and detailed to guide staff on people’s support requirements.

Staff understood their role to maintain high standards of hygiene, wear PPE and carry out regular Covid 19 testing in line with government guidance.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

We have made a recommendation about staff training on how to interact appropriately with people who have a learning disability and autistic people, at a level appropriate to their role in line with current legislation. This will help to ensure staff have the right skills to support people with a learning disability and autism in the future.

There was no registered manager in post at the time of this inspection, however the nominated individual confirmed they would be applying to be the registered manager with CQC.

The service was led by managers who were approachable and were passionate about delivering person centred care. Managers focused on learning from incidents and identifying areas that required improvement with the aim to improve the management systems and people’s experiences of the service.

Effective systems were in place to manage and monitor the service and engage with staff and people who use the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 16 June 2021)

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 13 May 2021. Two breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve in relation to ‘Fit and proper persons employed’ and ‘Notifications of other incidents’.

We received concerns in relation to people’s medicines. We undertook this focused inspection to follow up on the concerns raised with CQC and to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.